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aVR导联对左主干病变预测价值的初步研究 被引量：1

Initial Study on aVR Lead in Predicting Pathological Changes of Left Main Coronary Artery
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摘要 目的:探索体表十二导联心电图ST aVR抬高及ST aVR/STV 1抬高≥1预测左主干急性闭塞诱发前壁心肌梗死中的价值。方法:2003-08/2008-04本院确诊为急性前壁心肌梗死的120例患者,据经冠脉造影结果分为左主干闭塞组(LM组)38例;前降支闭塞组(LAD组)82例,计算并比较两组十二导联心电图aVR导联的ST段抬高及ST aVR/STV 1抬高≥1比例。结果:与LAD组比较,LM组ST aVR抬高例数显著增高(0.16±0.10 vs 0.05±0.06,P<0.05),且ST aVR/STV 1抬高≥1例数,LM组也显著增高(0.16±0.21 vs-0.09±0.11,P<0.01)。结论:十二导联心电图中检测ST aVR抬高及ST aVR抬高/STV 1抬高≥1有助于鉴别诊断前壁AM I患者中LM闭塞或LAD闭塞。 Objective:To explore the predicting value of ST segment in lead aVR(STaVR)and the ratio of STaVR/STV1 ≥1 in acute anteriormyocardial infarction result from the blocking of left main coronary artery.Methods:The electrocardiogram and coronary angiographic findings were analyzed in 120 patients diagnosed as acute anterior wall acute myocardial infarction,who were separated to two groups according to the result of coronary angiography,the left anterior descending(LAD) group(38 cases) and the left main(LM) group...
作者 赵立朝 石亚君 张红 时向民 卢喜烈
机构地区 解放军总医院心内科
出处 《中国误诊学杂志》 CAS 2009年第4期759-760,共2页 Chinese Journal of Misdiagnostics
关键词 心肌梗塞/诊断 心电描记术 人类 Myocardial Infarction/diagnosis Electrocardiography Humans
分类号 R542.22 [医药卫生—心血管疾病]
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共引文献26

同被引文献34

  • 1郑楚,蔡钰,唐金良.aVR导联ST段改变在急性心肌梗死中的诊断价值[J].广西医科大学学报,2010,27(5):698-700. 被引量：6
  • 2周世琴,王海昌,李景.冠状动脉病变支数及介入治疗对冠心病心功能的影响[J].陕西医学杂志,2006,35(12):1591-1593. 被引量：5
  • 3王龙,郭继鸿,王伟民,朱天刚.aVR、V_1导联心电图对左主干及前降支近端明显狭窄的诊断价值[J].临床心电学杂志,2007,16(2):93-96. 被引量：26
  • 4Yan AT, Yan RT, Kennelly BM, et al. Relationship of ST elevation in lead aVR with angiographic findings and outcome in non-ST elevation acute coronary syndromes [ J ]. Am Heart J,2007,154 ( 1 ) :71 - 78.
  • 5Szymaf~ski FM, Grabowski M, Filipiak K J, et al. Addimision ST-seg- ment elevation in lead aVR as the factor improving complex risk strati- fication in acute coronary symdromes[ J]. Am J Emerg Med,2008,26 (4) :408 -412.
  • 6Ducas R,Ariyarajah V, Philipp R, et al. The presence of ST-eleva- tion in lead aVR predicts significant left main coronary artery stenosis in cardiogenic shock resulting from myocardial infarction: The Manito- bacardiogenic shock registry[J]. Int J Cardiol, 2013, 166(2) : 465 - 468.
  • 7Yamaji H, lwasaki K, Kusaehi S, et al. Prediction of acute left main coronary artery obstructionby 12-lead electrocardiograph. ST segment elevation in lead aVR with less ST segment elevationV ( 1 ) [ J ]. J Am Coil Cardio1,2001,38 ( 5 ) : 1348 - 1354.
  • 8Vasudevan K, Manjinath CN, Srinivas KH, et al. Electrocardio- graphic localization of the occlusion site in left anterior descending coronary artery in acute anterior myocardial infarction [ J ]. Indian Heart J,2004,56(4) :315 -319.
  • 9Kosuge M, Ebina T, Hibik K, et al. ST-Segment Elevation in Lead aVR is the Strongest Predictor of Severe Left Main or 3-Vessel Dis- ease in Palients with Non-ST-Segment Elevation Acute Coronary [J]. Circulation J, 2010,122(11):1047-1053.
  • 10Gorgels AP,Vos MA,Mulleneers R, et al. Value of the electrocardi- ogram in diagnosing the number of severely narrowed coronary arter- ies in rest angina pectoris [ J ]. Am J Cardiol, 1993,72 (14) :999 - 1003.

引证文献1

二级引证文献5

中国误诊学杂志
2009年 第4期

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